During the 1980s, Jhpiego recognized that clinical services cannot be developed without strong national policy support. As a result, Jhpiego established a process of guideline development that ensures ownership by local stakeholders while adapting international evidence-based guidelines to the country. Through the years, Jhpiego has assisted governments and national programs to develop policies and clinical guidelines that support effective, equitable and standardized health care. More than 20 countries around the world have taken such action with support from Jhpiego, including Nepal, Zambia, Malawi, Haiti, Ukraine and Turkey.
These Jhpiego-assisted policy changes expanded reproductive health (RH) services and the role of nurses and clinical officers to perform RH procedures, such as manual vacuum aspiration and insertion of Norplant® implants and IUDs. Jhpiego has also partnered with governments in Malawi, Jamaica, Zimbabwe, Kenya and Zambia to establish RH guidelines and protocols that are considered the standard for best practices in service delivery. More recently, Jhpiego successfully collaborated with host governments to establish guidelines for postnatal care, postpartum family planning and prevention of mother-to-child transmission of HIV in Tanzania; develop the first national family planning protocols and standards in Albania; and update RH guidelines in Afghanistan, Nigeria and Liberia, which include the national scale-up of postpartum family planning service provision by community health worker teams.
Jhpiego has maintained a global leadership role in the development of numerous guidelines and recommendations that have become universal standards of practice. In collaboration with the World Health Organization (WHO), Jhpiego has partnered to create global guidance on managing complications in pregnancy and childbirth, managing newborn problems, providing family planning and performing male circumcision under local anesthesia for adults and infants. Jhpiego collaborated with UNFPA to develop the global guide Comprehensive Cervical Cancer Prevention and Control: Programme Guidance for Countries. Similarly, Jhpiego has provided technical guidance to WHO and other international bodies in the development of global recommendations for the prevention and management of key causes of maternal mortality, as well as for systems issues such as the strengthening of human resources for health.
These recommendations serve as the reference for global and national bodies to establish their own evidence-based service delivery, training standards and guidance. The evidence-based service delivery guidelines that Jhpiego has helped other countries to develop and translate into practice continue to result in improved practices and services for women and families worldwide.